Using this Resource Guide

The Resource Guide was developed as a means to provide a framework for state-to-state communication, technical assistance, and for multi-state analysis of policy and program development activities. It is also intended as a resource to other public officials, analysts and advocates.

The Guide has 6 sections which include 65 categories of states’ Medicaid Infrastructure Grant (MIG) comprehensive employment project activities. Within the 6 sections are subsections of summaries, recent activities and details and background information.

The Resource Guide is updated at least quarterly.


This Resource Guide is supported under a US Department of Education’s Rehabilitation Services Administration grant to the Law, Health Policy and Disability Center at the University of Iowa’s College of Law.

Table of Contents for Resource Guide

[The resources on this page are MS Word (.doc) documents. Clicking on a link will download that document to your harddrive. You will need to have MS Word, or software capable of reading MS Word files to open the documents on your computer.]

download entire Table of Contents (.doc)

    - Quicklinks to specific sections -
  1. Comprehensive Employment Opportunity Planning
  2. Planning & Development of Enhanced Rehabilitation, Vocational, Employment, and Employment-Related Support Services
  3. Development, Administration, and Evaluation of Consumer Information & Employer Outreach
  4. Development of Medicaid Buy-In Programs
  5. Personal Assistance Services
  6. Program Data Development and Research and Evaluation

A. Comprehensive Employment Opportunities Planning

  1. Comprehensive Employment Opportunity (CEO) Planning MIG Grants Summary Table (.doc)
  2. Comprehensive Employment Opportunity Planning – Details 2003-2005 & Resource Materials (.doc)

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B. Planning & Development of Enhanced Rehabilitation, Vocational, Employment, and Employment-Related Support Services - Recent Activities 2005 & 2006

    Recent Activities - Download complete Recent Activities document - all categories (.doc)
    Individual Documents by Category:
  1. Comprehensive Multi-agency Coordination and Planning – Non CEO MIG Grant (.doc)
  2. Local Multi-Agency Service Delivery Pilot Projects (.doc)
  3. Joint Efforts with Vocational Rehabilitation, Centers for Independent Living and other Social Service Agencies (.doc)
  4. Joint Efforts with Work Force Development Employment and One-Stop Services (.doc)
  5. Peer Support and Mentoring Initiatives to Encourage and Support Employment (.doc)
  6. Staff Training for Case Management Which Reflects Self-Determination Principles, Person- Centered Planning and Consumer-Directed Models (.doc)
  7. Specific Mental Health Services and Employment Focus of MIG Project (.doc)
  8. Specific Emphasis on Employment of Persons with Developmental Disabilities. (.doc)
  9. Youth Transition Programs (.doc)
  10. Joint Efforts with Asset Development Projects as Related to Work Incentives (.doc)
  11. Enhanced Use of Medicaid Home & Community-Based Waivers in Supporting Employment (.doc)
  12. Coordination with SSA Ticket Program (.doc)
  13. Housing Related to Employment Activities (.doc)
  14. Transportation Related to Employment Activities (.doc)
  15. Assistive Technology and Durable Medical Equipment as related to Employment (.doc)
  16. Self-employment and Entrepreneurial Activities (.doc)
    Long Term Details 2003-2005 & Resource Materials - Download complete Long Term Details document - all categories (.doc)
    Individual Documents by Category:
  1. Comprehensive Multi-agency Coordination and Planning – Non CEO MIG Grant (.doc)
  2. Local Multi-Agency Service Delivery Pilot Projects (.doc)
  3. Joint Efforts with Vocational Rehabilitation, Centers for Independent Living and other Social Service Agencies (.doc)
  4. Joint Efforts with Work Force Development Employment and One-Stop Services (.doc)
  5. Peer Support and Mentoring Initiatives to Encourage and Support Employment (.doc)
  6. Staff Training for Case Management Which Reflects Self-Determination Principles, Person- Centered Planning and Consumer-Directed Models (.doc)
  7. Specific Mental Health Services and Employment Focus of MIG Project (.doc)
  8. Specific Emphasis on Employment of Persons with Developmental Disabilities. (.doc)
  9. Youth Transition Programs (.doc)
  10. Joint Efforts with Asset Development Projects as Related to Work Incentives (.doc)
  11. Enhanced Use of Medicaid Home & Community-Based Waivers in Supporting Employment (.doc)
  12. Coordination with SSA Ticket Program (.doc)
  13. Housing Related to Employment Activities (.doc)
  14. Transportation Related to Employment Activities (.doc)
  15. Assistive Technology and Durable Medical Equipment as related to Employment (.doc)
  16. Self-employment and Entrepreneurial Activities (.doc)

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C. Development, Administration and Evaluation of Consumer Information & Employer Outreach

    Recent Activities - Download complete Recent Activities document - all categories (.doc)
    Individual Documents by Category:
  1. Development of Consumer Outreach & Information Dissemination (.doc)
  2. Development and Support of Sub-state Regional Consumer/Advocate-based information & Outreach Coalitions (.doc)
  3. Development of Integrated Benefits Planning - Work Incentives Planning and Assistance (WIPA) Systems (.doc)
  4. Employer Relations & Accommodations Activities (.doc)
  5. Media or public awareness campaigns for either employers or Job Seekers (.doc)
  6. State Government as Model Employer of People with Disabilities (.doc)
  7. Employment Initiatives Targeted at Cultural and Ethnic Minorities (.doc)
    Long Term Details 2003-2005 & Resource Materials - Download complete Long Term Details document - all categories (.doc)
    Individual Documents by Category:
  1. Development of Consumer Outreach & Information Dissemination (.doc)
  2. Development and Support of Sub-state Regional Consumer/Advocate-based Information & Outreach Coalitions (.doc)
  3. Development of Integrated Benefits Planning - Work Incentives Planning and Assistance (WIPA) Systems (.doc)
  4. Employer Relations & Accommodations Activities (.doc)
  5. Media or public awareness campaigns for either employers or Job Seekers (.doc)
  6. State Government as Model Employer of People with Disabilities (.doc)
  7. Employment Initiatives Targeted at Cultural and Ethnic Minorities (.doc)

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D. Medicaid Buy-In Programs: Development, Program Design and Enrollment

  1. Table of State Medicaid Buy-In Program Implementation and Enrollments - December 2006 update
  2. Tables of State Medicaid Buy-In Program Design Features - December 2006 (.doc)
    States Development of Medicaid Buy-In and Related Work Incentive Programs - Details 2003-2006 & Resource Material - Download complete Details 2003-2005 document - all categories (.doc)
    Individual Documents by Category:
  1. Medicaid Buy-In Studies, Policy Development or Enactment of Legislation (.doc)
  2. Development of Medicaid Buy-In Program Income Eligibility Criteria & Relationship to Medicaid Waivers (.doc)
  3. Development of Medicaid Buy-In: Resources Limits and Exclusions (.doc)
  4. Development of Medicaid Buy-In Cost Sharing Policies: Minimum Income Level and Premium Methods (.doc)
  5. Development of Medicaid Buy-In Work-Related Policies and Protections (.doc)
  6. Development of Medicaid Buy-In Regulations & Operating Procedures (.doc)
  7. Training Eligibility Staff related to Medicaid Buy-In and other Work Incentives Programs (.doc)
  8. Development of “Medical Improvement” Medicaid Buy-In Program (.doc)
  9. Development of “Demonstrations to Maintain Independence and Employment” Project (.doc)
  10. Section 1115 Medicaid Waivers and Employment (.doc)
  11. Development of Policy Options Related to Impact of State’ 209(b) Medicaid Eligibility Status on Work Incentives (.doc)
  12. Published Studies of Relationship between Medicaid and New Medicare Pharmacy Assistance Program (.doc)
  13. Relationship between Medicaid Buy-In and Managed Care (.doc)
  14. SSI State Supplementation-only Beneficiaries Work Incentives Development under Section 1905(q) (.doc)

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E. Personal Assistance Services

    Recent Activities - Download complete Recent Activities document - all categories (.doc)
    Individual Documents by Category:
  1. Personal Assistance Services (PAS) Program Planning & Fiscal Estimating (.doc)
  2. PAS State Plan Policy Development & Implementation (.doc)
  3. PAS & HCBC Waiver Policy Development & Implementation (.doc)
  4. PAS & Employers and the Workplace Studies & Policy (.doc)
  5. PAS & Self Directed Programs (.doc)
  6. PAS Workforce (.doc)
  7. Improve Consumers and other Stakeholders understanding of PAS Options for Improving Employment (.doc)
  8. Improve administration of PAS program with eligibility & case management data systems (.doc)
    Long Term Details 2003-2006 & Resource Materials - Download complete Long Term Details document - all categories (.doc)
    Individual Documents by Category:
  1. Personal Assistance Services (PAS) Program Planning & Fiscal Estimating (.doc)
  2. PAS State Plan Policy Development & Implementation (.doc)
  3. PAS & HCBC Waiver Policy Development & Implementation (.doc)
  4. PAS & Employers and the Workplace Studies & Policy (.doc)
  5. PAS & Self Directed Programs (.doc)
  6. PAS Workforce (.doc)
  7. Improve Consumers and other Stakeholders understanding of PAS Options for Improving Employment (.doc)
  8. Improve administration of PAS program with eligibility & case management data systems (.doc)

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F. Program Data Development and Research and Evaluation

    Summary Table of State Activities with Links to Published Reports - - Download complete Summary document - all categories (.doc)
    Long Term Details 2003-2006 & Resource Materials - Download Complete Long Term Details Document - All categories (.doc)
    Individual Documents by Category:
  1. Evaluation of Comprehensive Employment Infrastructure and Surveys & Focus Groups on Barriers to Employment & Adequacy of Supports (.doc)
  2. State studies on health needs of persons with disabilities & characteristics and earnings of VR clients (.doc)
  3. Medicaid Buy-In Participant Characteristics and Satisfaction Studies (.doc)
  4. Evaluation of Operating Medicaid Buy-In Program & New Options Studies (.doc)
  5. Studies of Employer Views and Evaluation of Employer Outreach Initiatives (.doc)
  6. Evaluation of Personal Assistance Services (PAS) Programs (.doc)
  7. Evaluation of Benefits Planning (.doc)
  8. Economic Impact of Medicaid Buy-In Programs (.doc)
  9. SSDI Demonstration Projects Activities (.doc)
  10. Evaluation of the Process of Disability Determination for Medicaid Buy-In Enrollees (.doc)
  11. Data Collection Capability Development and Development of Medicare/Medicaid Linked Database (.doc)
  12. Development of Multiple-Agency Data & Evaluation System to Determine Effectiveness of Employment Initiatives (.doc)
  13. Evaluation of Youth Transition Employment Programs (.doc)
  14. Evaluation of Ticket Program’s Impact on Employment (.doc)
  15. Evaluation of Section 1619 Program and Work Activity of SSI Recipients (.doc)
  16. Direct involvement of persons with disabilities in designing evaluation of programs intended to assist employment (.doc)